自体动脉移植修复腮腺导管的远期疗效观察  

Observation of long-term effect of autologous artery to repair parotid duct defect

作　　者：王维[1] 池宇峰[1] 谭锡涛[1] 王佩[1] 费晓东[1] 汪晓霞[1] 

机构地区：[1]广东医学院附属韶关市第一人民医院口腔颌面外科,广东韶关512000

出　　处：《中国口腔颌面外科杂志》2017年第2期176-179,共4页China Journal of Oral and Maxillofacial Surgery

基　　金：广东省韶关市卫生计生科研计划项目(Y16104);广东省韶关市科技计划项目

摘　　要：目的 :评价自体动脉移植在修复腮腺导管缺损中的临床效果。方法 :回顾分析2003年8月—2012年12月应用自体动脉重建腮腺导管的6例患者资料。通过临床观察、腮腺造影检查评价治疗效果。随访时间为1个月~9 a。结果:术后随访1个月~2 a,6例患者腮腺无肿胀,腮腺导管通畅,腮腺分泌功能正常;术后2~9 a,患者双侧腮腺基本对称,挤压腮腺,2例腮腺导管有少量唾液分泌。腮腺造影显示重建区导管狭窄;3例腮腺导管无唾液分泌;1例患者失访。结论:采用自体动脉重建腮腺导管,近期效果良好。但从远期疗效来看,自体动脉不适合重建腮腺导管。PURPOSE ： To evaluate the effect of autologous artery in repair of parotid duct defect. METHODS ： From August 2003 to December 2012, six patients with parotid duct defect were reconstructed with autologous artery. The clinical data were retrospective analyzed to evaluate the effect based on clinical observation and parotid sialography. All patients were followed up for 1 month to 9 years. RESULTS ： During the follow-up period of 1 month to 2 years, no swelling was present in the parotid gland of 6 patients, the parotid duct were patent, the secretory function of parotid were normal. During the follow-up period of 2-9 years, bilateral parotid gland seemed symmetric. The parotid duct in 2 patients exerted a small amount of saliva, the parotid duct reconstructed with autologous artery showed stenosis through parotid sialography. Three patients had no salivary secretion. One patient was lost follow-up. CONCLUSION S： Using autologous artery to reconstruct parotid duct can achieve a good short-term effect, but the long-term results were not ideal, therefore, parotid duct isn＇t suitable to be reconstructed with autologous artery.

关 键 词：腮腺导管 重建 自体动脉 腮腺造影 

分 类 号：R782[医药卫生—口腔医学]